The Senegalese Health Care System Sample Clauses

The Senegalese Health Care System. The organization of the Senegalese health care system follows a pyramidal structure comprised of three levels: peripheral, intermediary and central (Ministère de la Santé et de la Prévention, 2009). At the peripheral level, individuals have access to primary health care, including health education and basic preventive and curative services. This peripheral level is comprised of a network of health posts and rural maternities, some of which can also offer dental care services (Ministère de la Santé et de la Prévention, 2009). The health facilities at the peripheral level fall under the supervision and control of health districts. The intermediary level is organized around medical regions that have the same jurisdiction and reach as administrative regions (see Map 1 in Appendix). These medical regions are responsible for the coordination, supervision and control of all public and private facilities within their boundaries (Ministère de la Santé et de la Prévention, 2009). At this level, populations can access health centers where all primary care and some specialized care, such as general surgery, are offered (Ministère de la Santé et de la Prévention, 2009). The Ministry of Health and its services manage the central level, where specialized care is offered in reference and teaching hospitals. Level 3 hospitals offer specialized surgical and medical care, while general surgery and obstetric care are available at level 2 hospitals (Ministère de la Santé et de la Prévention, 2009). It is essential to note the importance of the private sector in the context of the Senegalese health system. Even though private health care facilities are present at every level of the pyramidal structure, there is no equivalence between the services and technologies available in the public and private sector. The private sector plays a significant role in the delivery of health care, however it shares no formal collaborative framework with the public sector. Still it would appear that both the rich and the poor access facilities in the private sector, thus increasing its impact on national health indicators (Ministère de la Santé et de la Prévention, 2009). Another essential element of the Senegalese health system is the role played by traditional medicine. Efforts have been made to inventory traditional healers, create centers dedicated to experimentation in plant-based medicines, and incorporate traditional medicine in the national health system (Ministère de la Santé et de la P...
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Related to The Senegalese Health Care System

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  • EMPLOYEE HEALTH CARE 233. Pursuant to the Charter, the City contributes whatever rate is applicable per month directly into the City Health Service System for each employee who is a member of the Health Service System. Subsequent City contributions will be set pursuant to the Charter.

  • Covered Health Care Services We agree to provide coverage for medically necessary covered health care services listed in this agreement. If a service or category of service is not specifically listed as covered, it is not covered under this agreement. Only services that we have reviewed and determined are eligible for coverage under this agreement are covered. All other services are not covered. See Section 1.4 for how we identify new services and our guidelines for reviewing and making coverage determinations. We only cover a service listed in this agreement if it is medically necessary. We review medical necessity in accordance with our medical policies and related guidelines. The term medically necessary is defined in Section 8.0 - Glossary. It does not include all medically appropriate services. The amount of coverage we provide for each health care service differs according to whether or not the service is received: • as an inpatient; • as an outpatient; • in your home; • in a doctor’s office; or • from a pharmacy. Also coverage differs depending on whether: • the health care provider is a network provider or non-network provider; • deductibles (if any), copayments, or maximum benefit apply; • you have reached your plan year maximum out-of-pocket expense; • there are any exclusions from coverage that apply; or • our allowance for a covered health care service is less than the amount of your copayment and deductible (if any). In this case, you will be responsible to pay up to our allowance when services are rendered by a network provider. Please see the Summary of Medical Benefits to determine the benefit limits and amount that you pay for the covered health care services listed below. Please see the Summary of Pharmacy Benefits to determine the benefit limits and amount that you pay for prescription drug and diabetic equipment and supplies purchased at a pharmacy.

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